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Gut Microbiota and Plasma Bile Acids Associated with Non-Alcoholic Fatty Liver Disease Resolution in Bariatric Surgery Patients
Bariatric surgery (BS) has several benefits, including resolution of non-alcoholic fatty liver disease (NAFLD) in many patients. However, a significant percentage of patients do not experience improvement in fatty liver after BS, and more than 10% develop new or worsening NAFLD features. Therefore,...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10385764/ https://www.ncbi.nlm.nih.gov/pubmed/37513605 http://dx.doi.org/10.3390/nu15143187 |
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author | Pérez-Rubio, Álvaro Soluyanova, Polina Moro, Erika Quintás, Guillermo Rienda, Iván Periañez, María Dolores Painel, Andrés Vizuete, José Pérez-Rojas, Judith Castell, José V. Trullenque-Juan, Ramón Pareja, Eugenia Jover, Ramiro |
author_facet | Pérez-Rubio, Álvaro Soluyanova, Polina Moro, Erika Quintás, Guillermo Rienda, Iván Periañez, María Dolores Painel, Andrés Vizuete, José Pérez-Rojas, Judith Castell, José V. Trullenque-Juan, Ramón Pareja, Eugenia Jover, Ramiro |
author_sort | Pérez-Rubio, Álvaro |
collection | PubMed |
description | Bariatric surgery (BS) has several benefits, including resolution of non-alcoholic fatty liver disease (NAFLD) in many patients. However, a significant percentage of patients do not experience improvement in fatty liver after BS, and more than 10% develop new or worsening NAFLD features. Therefore, a question that remains unanswered is why some patients experience resolved NAFLD after BS and others do not. In this study, we investigated the fecal microbiota and plasma bile acids associated with NAFLD resolution in twelve morbidly obese patients undergoing BS, of whom six resolved their steatosis one year after surgery and another six did not. Results indicate that the hallmark of the gut microbiota in responder patients is a greater abundance of Bacteroides, Akkermansia, and several species of the Clostridia class (genera: Blautia, Faecalibacterium, Roseburia, Butyricicoccusa, and Clostridium), along with a decreased abundance of Actinomycetes/Bifidobacterium and Faecalicatena. NAFLD resolution was also associated with a sustained increase in primary bile acids (particularly non-conjugated), which likely results from a reduction in bacterial gut species capable of generating secondary bile acids. We conclude that there are specific changes in gut microbiota and plasma bile acids that could contribute to resolving NAFLD in BS patients. The knowledge acquired can help to design interventions with prebiotics and/or probiotics to promote a gut microbiome that favors NAFLD resolution. |
format | Online Article Text |
id | pubmed-10385764 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103857642023-07-30 Gut Microbiota and Plasma Bile Acids Associated with Non-Alcoholic Fatty Liver Disease Resolution in Bariatric Surgery Patients Pérez-Rubio, Álvaro Soluyanova, Polina Moro, Erika Quintás, Guillermo Rienda, Iván Periañez, María Dolores Painel, Andrés Vizuete, José Pérez-Rojas, Judith Castell, José V. Trullenque-Juan, Ramón Pareja, Eugenia Jover, Ramiro Nutrients Article Bariatric surgery (BS) has several benefits, including resolution of non-alcoholic fatty liver disease (NAFLD) in many patients. However, a significant percentage of patients do not experience improvement in fatty liver after BS, and more than 10% develop new or worsening NAFLD features. Therefore, a question that remains unanswered is why some patients experience resolved NAFLD after BS and others do not. In this study, we investigated the fecal microbiota and plasma bile acids associated with NAFLD resolution in twelve morbidly obese patients undergoing BS, of whom six resolved their steatosis one year after surgery and another six did not. Results indicate that the hallmark of the gut microbiota in responder patients is a greater abundance of Bacteroides, Akkermansia, and several species of the Clostridia class (genera: Blautia, Faecalibacterium, Roseburia, Butyricicoccusa, and Clostridium), along with a decreased abundance of Actinomycetes/Bifidobacterium and Faecalicatena. NAFLD resolution was also associated with a sustained increase in primary bile acids (particularly non-conjugated), which likely results from a reduction in bacterial gut species capable of generating secondary bile acids. We conclude that there are specific changes in gut microbiota and plasma bile acids that could contribute to resolving NAFLD in BS patients. The knowledge acquired can help to design interventions with prebiotics and/or probiotics to promote a gut microbiome that favors NAFLD resolution. MDPI 2023-07-18 /pmc/articles/PMC10385764/ /pubmed/37513605 http://dx.doi.org/10.3390/nu15143187 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Pérez-Rubio, Álvaro Soluyanova, Polina Moro, Erika Quintás, Guillermo Rienda, Iván Periañez, María Dolores Painel, Andrés Vizuete, José Pérez-Rojas, Judith Castell, José V. Trullenque-Juan, Ramón Pareja, Eugenia Jover, Ramiro Gut Microbiota and Plasma Bile Acids Associated with Non-Alcoholic Fatty Liver Disease Resolution in Bariatric Surgery Patients |
title | Gut Microbiota and Plasma Bile Acids Associated with Non-Alcoholic Fatty Liver Disease Resolution in Bariatric Surgery Patients |
title_full | Gut Microbiota and Plasma Bile Acids Associated with Non-Alcoholic Fatty Liver Disease Resolution in Bariatric Surgery Patients |
title_fullStr | Gut Microbiota and Plasma Bile Acids Associated with Non-Alcoholic Fatty Liver Disease Resolution in Bariatric Surgery Patients |
title_full_unstemmed | Gut Microbiota and Plasma Bile Acids Associated with Non-Alcoholic Fatty Liver Disease Resolution in Bariatric Surgery Patients |
title_short | Gut Microbiota and Plasma Bile Acids Associated with Non-Alcoholic Fatty Liver Disease Resolution in Bariatric Surgery Patients |
title_sort | gut microbiota and plasma bile acids associated with non-alcoholic fatty liver disease resolution in bariatric surgery patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10385764/ https://www.ncbi.nlm.nih.gov/pubmed/37513605 http://dx.doi.org/10.3390/nu15143187 |
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